Massage for dacryocystitis in newborns

Dacryocystitis or inflammation of the lacrimal sac is accompanied by the release of mucus or pus from the eye, and a small swelling forms in the inner corner of the eye. The obstruction of lacrimal ducts can be a consequence of various processes, for example, the presence of a Hanser valve in the channel or a non-intersecting gelatinous plug.

An effective method of treating dacryocystitis is massage of the lacrimal canal. Tears help to properly function the eyes, create the necessary humidity, which helps to cleanse the eyeballs of dust and other small particles.

Method definition

Dacryocystitis in newborns leads to underdevelopment or anomalies in the development of lacrimal canals.In some cases, damage to lacrimal canal can occur with the imposition of obstetric forceps in childbirth.

This disease is diagnosed in five to seven percent of children. It is well treatable.

Symptoms of this disease manifest mucopurulent discharge from the eyes and a slight swelling in the inner corner of the eye.

When you click on the area of ​​inflammation, a selection appears. If the patency of the tear duct is impaired, the secretions accumulate in the lacrimal sac, resulting in an inflammatory process.

The danger of this disease is that the purulent discharge falls on the conjunctiva mucosa, and in view of the absence immunity in the baby, conjunctivitis, blepharitis, keratitis, corneal ulcer, barley and other inflammatory diseases can develop. eye diseases.

Massage with dacryocystitis of newborns should be done in order to clear tear sacks from pus and open tear ducts.

The first time the massage has to be done by a doctor is to show the basics of the technique to parents. After this, the parents themselves must conduct this procedure six to eight times a day.

Massage is to do pressure on the area of ​​lacrimal sacks.But we must remember that too gentle massage with dacryocystitis will not be effective, but it is impossible to exert excessive influence on the area near the eyes. Caring for the eyes of a newborn child requires confidence, tenderness and patience.

Eye massage for children

Radical treatment of dacryocystitis is the probing of the lacrimal canal.

Application area

The conservative approach to treatment of dacryocystitis is mainly aimed at:

1. Regular massage of the tear duct in newborns.
2. It was supplemented with the use of antibacterial drugs.
3. TWarm compresses were used to strengthen and consolidate the effect.

The effectiveness of massage in the dacryocystitis of newborns is not confirmed by studies. However, it is proved thattreatment in such a way, due to which there is pressure on the lacrimal sac, more pronounced forms a positive dynamics in the process of recovery, than a gentle variant of massage or abstinence from any kind of manipulation in this region.

Massage can be done to the child even at home to help open the tear duct. An experienced specialist can demonstrate the most effective massage technique, which is optimal for even a two-month-old baby.

Procedure

Before the procedure, it is necessary to wash and disinfect hands, and the nails should be as short as possible. Or you can use sterile gloves.

Stages of performing a tear duct massage:

1. Pull the index finger lightly on the inner corner of the eye, turning a finger towards the bridge of the nose.
2. Gently squeeze the tear sackto release it from purulent-mucous discharge. You need to remember the tender cartilage and bones of the baby and choose the strength of the impact, so as not to injure the child.
3. Bury in a sick eye a warm solution of furacilin: 000 and a viscous secretion is removed from the sterile cotton swab.
4. Continue pressing and sliding movements along the bridge of the nose along the nasolacrimal pathways with purulent accumulations, adhesions and mucus.
5. On the lacrimal sac, they are jerked with fingers with a little effort, directing movement from above (from an internal corner of an eye) downwards. The created pressure will break through the embryonic film, which is exactly what is needed.
6. The finger is returned to its original position, and the procedure is repeated four to five more times.
7. Bury in the eye, 5% solution of levomycetin or Vitabakt.

Massage should be done five or more times a day for fourteen days. The procedure is best performed when the child cries, because the muscles are straining, which helps to get rid of the gelatinous plug. You need to carefully remove pus and mucus so that they do not get into the nearby eye or ear.

Massage can be painful.The older the child, the denser the gelatinous cork becomes, the more painful the procedure will be.

results

If the result after two weeks of massage is absent, thensounding of lacrimal passages.

Under local anesthesia, an embryonic plug is ruptured by a special probe.To restore patency in full, you may only need one procedure, but sometimes you have to do it twice or more.

Probing is best performed at the age of one to three months, since then the effectiveness of this procedure is much lower.Immediately after the procedure, the doctor should wash the tear lines. After the sounding is done, drug treatment is carried out for one to three months and repeated washing is done.

If neither massage, nor sounding did not help, then dacryocystorhinostomy is performed. This is a complex operation, which is carried out either through the nasal cavity, or from the outside. If dacryocystitis has passed into a chronic form, then it can be treated only in this way.

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conclusions

Dacryocystitis is an inflammation of the lacrimal sac. Most often this disease occurs in newborn children.

In order to cure dacryocystitis in a newborn baby, it is necessary to do a tear duct massage. In this article, we talked about the principles of the procedure. Remember that the technique of massage should show an experienced doctor (pediatrician or ophthalmologist). This will avoid the consequences and restore the health of the child's eyes.

Also read about what is fraught with conjunctivitis in newborns.